FOSTER INTERNATIONAL LIVING-LEARNING CENTER
FLLC-Q100 PEER INSTRUCTOR Application Form (Fall 2012)
Name:
Campus Address:
Home Address:
Campus Phone:
Home Phone:
Email:
Class standing as of August 2012:
Cell Phone:
@indiana.edu
G.P.A.:
Major (Intended or Declared):
When you completed, or intend to complete, FLLC-Q100:
References: Please provide information for a reference contact who would be willing to
provide feedback on your qualifications for serving as a FIN Peer Instructor:
Name:
Relationship to You:
Contact (Email or Phone):
Essay: Please answer the following questions on a separate sheet of paper (please type and
limit your response to 150-200 words):
Community: In your own words, define community and explain its importance to Foster
International (FIN). Please discuss both a challenge and an opportunity posed by living in a
community of nearly 200 students representing diverse cultures, languages, and nationalities?
Diversity: Foster International celebrated its 25th anniversary during the 2008-2009 school
year. What types of events and activities might you propose for your Fall 20112Q100 students
as we continue to develop as a living-learning center and support diversity on the IUB
campus?
VERIFICATION OF COMMITMENT:
In signing below, I certify that I have read the Q100 Peer Instructor job description and
that I agree to execute the stated teaching duties and responsibilities to benefit the
Q100 course and the Foster International LLC community at large.
Signature:
Date:
PLEASE NOTE:
After completing this form interested candidates should contact the FIN Director, Dr. John D.
Galuska (jgaluska@indiana.edu, 855-6215). Signed applications should be submitted at his
office (across from the FIN computer lab). Your essay may be submitted via email.